Individual
MARCI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1052 SW 4TH AVE STE 2, ONTARIO, OR 97914-2100
(541) 216-6068
Mailing address
3186 NW 7TH AVE, ONTARIO, OR 97914-1246
(541) 212-6767
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
201240527RN
OR
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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